New Patient Resources

Adult Intake

If you are a new patient, please fill out all of the forms and bring them with you to your appointment along with your insurance card and drivers license. Paperwork can be emailed to you prior to your initial appointment. Please return all paperwork prior to your initial appointment if possible. Thank you.

Download

Child/Adolescent Intake

For new patients under the age of 18, please fill out these forms, as well as the "DSM Child Form" and bring them with you to your appointment along with your insurance card. Paperwork can be emailed to you prior to your initial appointment. Please return all paperwork prior to your initial appointment if possible. Thank you.

Download

Policies & Procedures

This document includes your Clinician-Patient Agreement, Financial Responsibility, & Overview of Policies and Procedures. Please review it in its entirety to ensure your awareness of rights and obligations.

Download

Additional Forms

No Surprise Act Policy

You have the right to receive a “Good Faith Estimate” explaining how much your mental healthcare will cost.

Download

Good Faith Estimate Form

You have the right to receive a “Good Faith Estimate” explaining how much your mental healthcare will cost.

Download

COVID-19 Policy

COVID-19 As part of our protocol, our office has heightened its cleaning and disinfecting procedures to maintain a healthy environment for our clients, staff, and clinicians. We are taking precautions and asking anyone who is not feeling well to reschedule their appointment.

In addition to continuing to offer in-office sessions, we are also offering telehealth (virtual med and therapy) to anyone in the State of GA. Telehealth sessions require a new consent form that can be found on our "New Patient Forms" page.

Please know that the telehealth service should not be used for crisis situations. If you are in crisis, call 911 immediately or go to your nearest emergency room.

Insurance

The following is the list of insurances with which we participate. This list will be updated from time to time as needed.

Allied National
Ambetter of Tennessee
Aetna
Amerigroup Benefit Administrative Systems
Anthem/BCBS
Caresource
Cigna
Cigna Behavioral Health
GEHA
KEPRO
Magellan

Medicare
Meritain Health
Military One Source
Novanet
Peachstate
TLC Benefit Solutions
Tricare
UMR
United Health Care
Wellcare
GA Crime Victims Comp
Several EAP Plans

Insurance participation varies amongst EnSpire Counseling & Wellness providers, so please be sure to verify participation with your insurance prior to your visit.

You should always check with your EnSpire Counseling & Wellness provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.

EnSpire Counseling & Wellness will no longer be billing secondary insurance as of 1/1/2022. 

All copayments/deductibles are due at the time of service.